Individual
EMILIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
740 E 3RD ST, EATON, CO 80615-9078
(970) 412-5040
Mailing address
740 E 3RD ST, EATON, CO 80615-9078
(970) 412-5040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013074
CO
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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